RESUMO
ABSTRACT: To analyze the efficacy and safety between bipolar transurethral enucleation of the prostate (BipoLEP) and bipolar transurethral resection of the prostate (B-TURP).One hundred twenty eight patients with benign prostatic hyperplasia were recruited and divided into group 1 (BipoLEP group, nâ=â72) and group 2 (B-TURP group, nâ=â56). The study period was from October 2016 to February 2019. All data parameters were prospectively collected and analyzed.In these 2 groups, there were no significant differences of the mean ages (71.88â±â6.54âyears vs 73.05â±â7.05âyears, Pâ=â.407), prostate volumes (99.14â±â9.5âmL vs 95.08â±â10.93âmL, Pâ=â.302) and the mean operation times (93.7â±â27.5âminutes vs 89.8â±â22.4âminutes, Pâ=â.065). In BipoLEP group, it had more prostate tissue resected (64.2â±â22.1âg vs 52.7â±â28.6âg, Pâ=â.018), less duration of continuous bladder irrigation (20.7â±â6.5âhours vs 29.6â±â8.3âhours, Pâ=â.044), shorter catheterization time (4.3â±â1.5âdays vs 5.6â±â2.1âdays, Pâ=â.032), shorter hospitalization stay (5.2â±â1.4âdays vs 6.5â±â1.9âdays, Pâ=â.031) and less complications (3 cases vs 9 cases, Pâ=â.021). There were significant improvements in 3-month postoperative parameters, including: post void residual urine, maximum flow rate, International Prostatic Symptoms Scale, and quality of life in each group (pâ<â0.01). However, there were no significant differences of preoperative and 3-month postoperative parameters, including: post void residual urine, maximum flow rate, International Prostatic Symptoms Scale, and quality of life between these 2 groups (Pâ>â.05).BipoLEP can produce a more radical prostatic resection with better safety profile and faster postoperative recovery. It may become a more favorable surgical alternative to the B-TURP, especially for the prostate larger than 80âg.